| NPI | 1710082243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401006865) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301010633) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2025-09-11 |